Doctor Name: | MARIAN K CONNER |
NPI Number: | 1841360567 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CRNP |
License Number: | SP008567 |
Business Practice Address: | 2120 Likens Ln Farrell, PA - 161212304 |
Business Phone Number: | 7249813731 |
Business Fax Number: | 7249813740 |
Mailing Address: | Po Box 1004, HERMITAGE |
State: | PA |
Postal Code: | 161480004 |
Phone Number: | 4123276804 |
Fax Number: | 7243470864 |
NPI Enumeration Date: | 11/09/2006 |
NPI Last Update Date: | 05/13/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | SP008567 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |